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Research-Led Systems Design

I study how healthcare organizations lose patients and clients, then build the systems required to stop it.

My current focus is on solving patient acquisition gaps in healthcare:

  1. Help private plastic surgery practices close their biggest growth leaks by diagnosing the problems and implementing the Patient Growth OS that recovers surgical revenue and qualifies leads online instead of in the consultation.
  2. Help healthcare design orgs articulate their strategic value to executives while solving client acquisition problems and de-risking healthcare businesses in the wake of the AI takeover through the Growth Architecture Assessment.
Shanelle Roberts, researcher and systems designer
200+ Healthcare Practices Researched
20 Years Product and Systems Design Experience
6 Proprietary AI Agents Built
1 U.S. Utility Patent at T-Mobile
The Work

Three interconnected problems.
One research-led system.

01
Patient Acquisition Research

I've studied 200+ surgical and self-pay practices to map where and why qualified patients leave before booking. The patterns are consistent. The fixes are architectural, not tactical.

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02
Growth Architecture Assessment

A structured diagnostic that quantifies your organization's patient acquisition gaps, conversion losses, and AI integration opportunities, in a 15–20 page report and executive readout.

See the Assessment
03
AI Integration at the Systems Level

Not a tool audit. A strategic assessment of where AI produces measurable business outcomes in patient communication, design team capacity, and operational efficiency.

My Approach
Patient Growth OS

Private surgical practices are losing qualified patients before they ever book.

Most private surgical practices have no system connecting the patient's first inquiry to a booked procedure. The consultation happens. The follow-through doesn't. Revenue that was already in the room walks back out of it, and no one has built the architecture to stop it.

The Patient Growth OS is a done-for-you system designed specifically for private surgical practices without a dedicated design or tech team. It diagnoses where qualified patients are dropping off, recovers revenue through structured post-consult follow-up, and qualifies leads online before they reach the consultation room.

The cost of not having this system: every consulted patient who doesn't book represents recoverable surgical revenue. Across a busy practice, that gap compounds monthly. The Revenue Leak Audit quantifies exactly what it's costing you before any engagement begins.
The Revenue Leak Audit
A diagnostic that finds what your practice is losing and puts a number on it.
  • Where qualified leads are entering and exiting the funnel before booking
  • What your post-consult follow-up system looks like, and what it's missing
  • Whether your online presence is qualifying or repelling the right patients
  • The estimated annual revenue sitting in unconverted consultations
  • The highest-leverage fixes and the sequence to implement them
Learn more at Patient Growth OS
About

Built from inside
the problem.

In 2025, I designed a field research study. Consult with five surgical practices as a prospective patient and observe the full post-consultation experience. What I found was consistent across all five, a significant gap between the consultation and any structured follow-through to convert interest into a booked procedure. The pattern held as I continued to expand my research online across 200+ practices.

I'm a researcher and systems designer with 20 years of experience across enterprise telecom, institutional fintech, and healthcare. The work includes a U.S. Utility Patent from T-Mobile.

My current focus is solving the patient acquisition gap in healthcare. That looks like two things: helping private plastic surgery practices close their biggest growth leaks by diagnosing the problems and implementing the Patient Growth OS that recovers surgical revenue and qualifies leads online instead of in the consultation, and helping healthcare design orgs articulate their strategic value to executives while solving client acquisition problems and de-risking healthcare businesses in the wake of the AI takeover.

Read my approach
How I Think and Lead

Two principles that shape every engagement.

On AI in Healthcare

AI is a force multiplier. Not a replacement.

The risk in healthcare is not AI itself. It's organizations that use AI to cut the humans who hold the relational and ethical weight of care. I believe AI should make the people in the room significantly better at their work. The human drives the strategy and makes the judgement call because they bear the responsibility for the outcomes AI produces.

Read more on my approach →
On Leadership

Loyalty is the operating principle.

Loyalty means I tell you what's true even when it costs me the engagement or future work. The scope I agree to is the scope I protect. The findings I deliver are what the data shows, not what would make you more likely to hire me next.

Read more on my approach →
Start Here

The Assessment is the fastest
path to clarity.

A 30-minute diagnostic conversation to determine fit. No pitch. No deck. Just the right conversation about what your organization is navigating.

Book a 30-Min Call No obligation · No sales deck · Just the right conversation